Provider Demographics
NPI:1134203870
Name:METOYER MEDICAL CORPORATION INC.
Entity type:Organization
Organization Name:METOYER MEDICAL CORPORATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR.
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:METOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:377-948-4445
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70571-1288
Mailing Address - Country:US
Mailing Address - Phone:337-948-4445
Mailing Address - Fax:
Practice Address - Street 1:204 W NORTH ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5244
Practice Address - Country:US
Practice Address - Phone:337-948-4445
Practice Address - Fax:337-948-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACG8281OtherRAILROAD MEDICARE
LA1023540Medicaid
LA1023540Medicaid